Glassman, Jonathan D
Glassman, Jonathan D is an individual health care provider with primary practice located at 161 Willis Avenue , Mineola NY 11501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Glassman, Jonathan D can be contacted via phone (516) 742-0034.Contact Information
Primary practice address
161 Willis Avenue
Mineola NY 11501
Phone: (516) 742-0034
Fax: (516) 742-0043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 1873911 | New York |
Profile Details
| NPI number | 1851454292 |
|---|---|
| LBN Legal business name | Glassman, Jonathan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851454292 | NPPES |
| New York | MEDICAID | 02414088 |
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